TYPES OF HEART ATTACK

[00:00:00]A long and good day and good time wherever you are. Another day to discuss about something important and something important is called something important is called heart. You know the heart the heart itself um uh pushes the blood around your body and the heart itself makes you have nutrients and oxygen around your body.

[00:00:25]So today we are continuing with the topic on heart attack. We are continuing with the topic on heart attack which is important and uh [groaning] and as we continue with the topic on heart attacks. Uh we we will just have to remind ourselves on what we were doing last time you know um last week we did several things attack was it and you know the inspiration uncle is here. Big up Jamaican uncle. We're talking about heart attack or what we did last week.

[00:00:59]We defined heart the heart condition. We defined the heart condition as whereby the muscles of the heart die off and they stop doing their work. You know they are automatic. They do whatever they do automatically. So heart attack another name for heart attack we call we called it we called another name for heart attack myioardial infunction another name for heart attack is myioardial in function and we defined what is myocardial in function it's not a a a big term no so if you are coming in right now hit the like button tell us where you're watching from uh subscribe to the channel if you haven't subscribed to the channel but you know interaction is the best thing to do Have you ever seen a person that has just incurred a heart attack? The word here is what is the other name heart attack? We say the other name for heart attack is myioardial infunction. So myioardial infunction as we say is myo means muscles. Cardiac cardio means cardiac muscle the heart muscles in function means lack of oxygen and dying off. Lack of oxygen and dying off. So we are discussing guys we are discussing I can see more people are in if you are new to the channel please tell me where you're watching from and uh if you have a question the platform is open just put your question there let's discuss whatever you think is right today we talking the topic of today is types of heart attack and as you can see we have another picture of the heart that one it's not the normal one that we usually have you see the normal one is this Let me put the normal one. The normal one that you usually have is this one. The heart itself. You get it? The heart itself. But today we have another type of We have another type of hat here that is not the the one that we usually have.

[00:03:03]Sorry for that. Sorry for that. The one that we usually have. So if you have a question, you are coming right from Kenya. You are coming right from uh from uh Australia, Asian countries.

[00:03:16][clears throat] Benjamin the wise guy is the guy here.

[00:03:19]We talk about medical issues. We discuss about issues concerning our own health.

[00:03:24]So tell me where if you are new tell me where you're coming from. So we discussed about these issues and you know when we discussed about them we talked about several issues that are very important very important in life because without your heart how will your how will your brain get oxygen? How will your muscles get oxygen? But here people always say that you know that person went because of heart attack. We discussed about it. We discuss the risk factors of heart attack. We discuss the problems. I'm just giving a recap before I start the before I start the topic that is types of heart attack so that we can all be on the live platform you know. So the risk factors contain lifestyle. We are those we have modifiable and nonmodifiable. Those ones that you can help yourself by modifying but those ones that you cannot modify.

[00:04:22]If you have them is a problem. So which are the modifiable types of risk factors? Which are the I'm trying to to secure some space here that you can which are the modifiable type of heart attack. The modifiable types of heart risk the risk factors modifiable types you can uh if you have hypertension that can lead to heart attack you can take drugs. Diabetes you can manage. You see lifestyle, food, nutrition, you can modify but you cannot modify age because increasing age is another problem when it comes to heart attack. You know increasing age is another type of heart attack. If you if you have a question please put it up.

[00:05:14]I'm just going through what you did in our previous video. Okay. There is genetics. There are some people who are susceptible to heart attack because of some conditions with their uh with their with their muscles of the heart and some conditions with their blood vessels. You check you check that.

[00:05:34]So today we are doing types of heart attack. Types of heart attack and we said there are two type there are three types of heart attack. You remember um non ST elevation myio ST and STEM it is called one is called STEMI non ST elevation myioardial in function and there is one that is called to universal div ah come on I type sorry sorry sorry sorry Sorry.

[00:06:17]Yes. The first one is The first one is non ST elevated heart attack. The other one is ST elevated heart attack. Uh there is under universal definition of myioardial infection. we have something that is called type one mioardial infunction which is called STEMI or enemy. So I want to discuss something that is very important because people are seeing me talking about stemi and and stemi stemi and stemi you know you have to know these words they are not complicated words so let me in first talk about this thing that I'm calling stemi and and stemi let me talk about it first st elevation h uh for that we need to Learn about something that is called the echo. Echo echo eg echo eg.

[00:07:32]Just a minute my guys.

[00:07:42]Yes. Now when a person goes to a hospital uh maybe they suspect they have a problem with the heart a problem with the heart and that's where I take my pen and paper and paper now let me put take a pen and a paper and u uh there There is something that you'll check. Let me draw it here. Uh there is something that is called that you have seen most of the times.

[00:08:23]This thing that I want to draw here.

[00:08:39]I'm drawing something that you'll be very interested with. You see, very interesting. Have you ever seen these things on a on a movie on a on a on something that is called where or in a hospital or a patient that you have ever gone with in a hospital have shown you have been having a a picture that has this thing this this ones this ones there are some machines that we use on when you have problems with the heart uh with the heart We place the probes Hillary is here. Hillary, hi. Big up every time Hillary. So when you place those probes on the they are called probes on the chest. I know some of the you know this they produce some waves like this. They produce uh like this.

[00:09:48]And this one defines what you are seeing behind me today. We have another picture. What you are seeing behind me is a picture of the heart. This one is called the conducting system. The synotrial node. What they do, these nodes, these bundles of green that you see here, whatever you see here is they produce electrical system. They produce electrical system. And uh this is Pwave. So when you have put those probes on your on your on your chest, they detect how the electrical system moves through your heart. Moves through your heart. Hillary, I can see you big up every time. Hillary, I see you there.

[00:10:33]This heart as it pumps like this as it pumps like this, what enables it to pump is called electrical system. So here we have a node that produces the electrical system. It is called synenoatrial node.

[00:10:48]This one is called senoal node at your ventricular. So this one it passes the waves from here and to the ventricle.

[00:10:58]That one is called at your ventricular node. At your ventricular node. So when this one produces an electrical system, how it starts is this in the cells around here. cells.

[00:11:14]When you take >> [clears throat] >> uh when you we have your body has sodium ions and when you take some sodium ions, let me say this sodium ions. Let's say this is your cell. So, sodium ions are positive ions.

[00:11:39]Sodium ions are positive ions. Sodium ions. When they go in inside your cell, this cell become posit depolarized, positively charged. And when it becomes positively charged, it produces an electrical system here. So those pros that you have placed in your in your chest produces a wave that is called a Pwave. A Pwave produces a wave that is called on the a Pwave. This Pwave this Pwave is usually seen on the monitor on the monitor in a hospital. So remember the electrical system we we we kind like check for the electrical system with those probes that we put on your chest. So it produces a Pwave. You see as it become polarized it comes.

[00:12:40]You see the P says this arteria is contracting.

[00:12:45]This Pwave says this arteria is contracting and blood is pushed as it contracts you know if you contract something it pushes things away. So as it contracts it pushes to the ventricles. you get it pushes blood to the ventricles. I'm explaining this because I want people to understand types of heart attack types of heart attack and how heart attack comes. H So if you are coming in right now, join the stream my friends. Join the stream. I can see Hillary is here. And if you are here, please shout out your name. Let's know that you are here watching. You see? So when it pushes Yeah. the the the blood to to to a minute to the ventricles. The duration as it pushes is 0 to 8 seconds. Less than 0.12 seconds. You see 0.12 seconds. That is very faster. You you get. So we have another thing. The blood has gone to the ventricles. You get the blood has come from you know from the vena cover it enters it has come to the ventricles. Now this blood has to go to the lungs and some some blood has to go to the body and some others have to go to the muscles of the heart. So uh this one is uh the P R from. So we have R wave which is here.

[00:14:26]R this one you see have another wave there. That is very important. Just a minute. That is very important.

[00:14:39]What does it show? What does this arrow will show? You know um P R we are saying from let me do it where from here to here.

[00:14:56]Now the blood has come to the ventricles and we have another wave that is from here to here. We are looking at that. I wish I could have that machine right now so that you can see from here to here.

[00:15:10]Time taken for electrical impulse to travel from seno arteral nodeal node AV node fibers and you see so when it has produced here the wave comes down here and it comes this side it's an electrical system and it comes again this side as so that is PQR PQR the ve is still traveling.

[00:15:40]That's why when the wave reaches here, the probe that is here, what does it do?

[00:15:48]It makes this heart to start contracting. Grand rising Dr. Ben and Chhat. Welcome Chave. I'm trying to talk about types of heart attack and I have to talk about this although we had talked about it.

[00:16:03]Been looking on TVA. Thanks. Thanks Shravel. Thanks a lot. So when blood comes it means the wave will come and when the electrical wave come here and this one this heart muscles are positively charged they will contract.

[00:16:21]Contraction means they are pushing blood to the lungs and other blood that is coming here that has oxygen is going back to the body. So that so that is the PQR wave. You see the PQR wave. So we have QRS complex. We have P QR S. Ah, I need that blue mark. I need I wish I could have that machine here. PQR S uh QR. So you see we have QR S QR S. What does QRS say?

[00:17:04]It says that this thing has your heart has contracted. Now it wants to relax.

[00:17:12]So it is called septal polarization.

[00:17:16]Septa depolarization.

[00:17:20]It is relaxing.

[00:17:23]It is relaxing. Waiting for another moment to to be [groaning] polarized.

[00:17:30]Depolarized. You see? So this one is deolarization. It is contracting. So large Q wave suggests previous myabin function.

[00:17:41]Yes. Rwave first positive deflection and S wave negative deflection after Rwave. So uh if you are not getting I had left branch blockage. Left branch blockage. So your left branch blockade is you had something here or here.

[00:18:05]Left branch here. So either left bundle is here. This one you see the green lines. Look at the green lines. So blockage means this bundle of heels of he they are called bundle of heels that is taking the electrical signal something has happened somewhere and it is like like fibrosis or pathology. So when the electrical system comes here it doesn't pass it is interrupted.

[00:18:43]That is uh what SH travels is saying my guys if you if you if you if you are not getting uh please I'm just trying to explain the electrical impulses. So we have said listen listen here look at this look at this picture of mine. This is this is that is a P. Let me put it here.

[00:19:07]Uh so that you can watch it and see.

[00:19:10]Look here. This is when this one get is positively charged, it contracts. That is the P wave. Q.

[00:19:19]And then we have P Q.

[00:19:23]Mhm.

[00:19:24]I And then there is ST. the ST it is a very funny process P QR ST and then there is contraction of the bandons and then it relaxes so QR ST as the segment is what I'm talking about S T is here this one is T the last thing that you are seeing this one is T is here T is here where we have acute deolarization here of the bundles as the electrical system goes to the left. John Conrad, hi. Hi Conrad, welcome to the channel. Hope you have subscribed. I'm talking about heart attack. So, and then the circle comes again. P Q. You see P Q P Q here R S T it goes like that and that that is how your heart does what that your heart contracts and relax contracts and relax.

[00:20:37]So the electrical systems are monitored by the they are monitored by the the the device that we call an ECG machine. an ECG machine. If you are coming in right now, we are I'm introducing types of types of heart attack. The other name for heart attack we talked about is called is called myioardial in function. Myo means the heart muscles. Cardio is the heart.

[00:21:09]In function is lack of oxygen causing death. So I'm explaining this because we have two types of and several we the main types of heart attack one is called end stemi nonst non st elevation heart attack the other type is called st elevation and stemi stemi so let's get to to the heart attack I hope as we continue you have seen how the electrical system comes And how this this things [clears throat] on the and how this is produced on that machine that is called the echo echoc cardiogram Pwave. It means the atrium are positively charged and deolarizing and forcing blood to the ventricles. Forcing blood to the ventricles.

[00:22:07]And then QRS it says the ventricles are coming to be charged and they are contracting forcing blood away from the from the ventricles and taking to the lungs the other blood that is oxygenated coming back to the to the body. Yes, I can see Shal Falls 436.

[00:22:32]Welcome, welcome, welcome. John Conrad, welcome everyone who is in the chat and if you are here you have a question and you here we talk about everything good.

[00:22:41]My grandpa had an open heart surgery on last Thursday. Oh, sorry for that. What was the problem Charlie please subscribe subscribe and then we can get to know more and help your grandpa to have a good healthy life even if your grandpa hasn't undergone the surgery. Anyone who is coming in and you think you can ask a question, the chat is open. Welcome.

[00:23:05]Here we talk about health issues and health matters, you know. Here, let me shout out. He is home safe. Thanks so much. Let me shout out Sha Travels. Let me shout out Jamaican uncle always Hillary. Everyone who is here and everyone who is watching me, big up every time. If you are new to the channel, please subscribe. Let's talk and talk and continue. So I've said how these are coming and now let's talk about types of heart attack. Types of heart attack. What are the types of heart attack? If you have a question about this, I'll be more than uh happy to repeat if you have not got uh it right or if you want me to repeat something, I'll be more than okay to to to repeat. Shirley Falls. Oh, thanks.

[00:23:58]stands is okay and well at home. Thanks so much for that sh. So I've explained how these waves are. These waves are produced by something that is called an electroc cardiogram. A machine that produces waves and shows how the the heart itself is pumping and how the the heart is going on with the pumping process of blood to your body. So this one is a very important process to types of heart attack. So here heart attack also called myioardic function and classified by based on ECG findings the underlying type of cause or area affected you see so heart attack is classified by ECG these findings here on that machine that is called the e echoc cardiogram you know it's called the echoc cardiogram and the underlying cause what caused the problem is Is it a bacteria? Is it something that you were born with? You know, congenital anomalies. You remember we talked about congenital anomalies, septal disorders. You know, we divided them into two. Cyanotic and nonyanotic.

[00:25:17]When I'm talking about cyanotic, I'm talking about with without those heart conditions that are making your body lose oxygen and asotic those heart conditions that you have them but oxygen is there. So we divided them into septal disorders. We divided into tetrology of phot there is something total anomalous pulmonary anomalous you remember those please check that video and update yourself or I can repeat if you have a question. So types of based on ECG finding mostly the first one types caused by this electron probes that we ECG findings are the ones that check the electrical system. So when we talk about type based on the ECG finding we say A is ST elevation myioardial infunction.

[00:26:14]So ST elevation myioardial in function.

[00:26:19]And then we have the other one B non ST elevation myioardial infunction. So this one is we are basing them on this. If you have not got it please let me repeat it. We are basing it on ST elevation myiocardio infunction and SD elevation myioardial infunction is I've explained how the blood comes. So ST means ST you are you are when the the the the the ventricles have contracted pushing blood away there is a problem. This is ST elevation. ST ele here so that you can uh understand. If you have a question, please bring it up.

[00:27:11]Bring it up and uh let's talk about it.

[00:27:14]Let's talk about it. Now, right now, someone knows the other name for someone knows the other name for [groaning] for heart attack is myioardial infunction.

[00:27:28]You see mioardial in function. Now I want you to look at these two pictures.

[00:27:34]I want you to look at these two pictures. Look at this one. You look at this. This is an ECG. This one it is normal. You see this one is normal. P QR S T. Very normal. And then you repeat again. E P QR S T. As it goes, it is a circle. But look at this. Look at this.

[00:27:58]Look at this. P Q R S T. Look at this. Look at this.

[00:28:09]P Q R S. And then you see E.

[00:28:18]You see that?

[00:28:24]I want you to check. Let me put this one again here so that you can check. And this is your heart.

[00:28:32]This is your heart. There is something I want to put here. If you are coming in right now, we're talking about heart attack. If you have any question, I'll be honored to answer you. So, come in and if you've not liked the chat, the the the the stream, please like. Don't just watch eh.

[00:28:56]Don't just watch, subscribe to the channel a bit. Subscribe. You may get some good uh good uh uh things here. So why why do we have ST elevation?

[00:29:12]One we say one we said heart attack is called myioardial infunction. Another name for heart attack is called myioardial infunction. And what is myioardial infunction? In simple terms, it says myo is muscles of the heart. Cardio infunction means math because of lack of oxygen. Death because of lack of oxygen. Myioardial infunction. So let's see. Let's see my guys why myioardial infunction. muscles of the heart dying because of lack of oxygen and then on our machine electroc cardiogram we start finding the ST that is elevated and not the normal. The ST that is elevated and not the normal. So we say divide into two. We divide heart attack into two because of one based on the electrocardial electroc cardiogram electrical system as it goes. So if you have a problem somewhere you know let's say on the this left bundle the electricity will not pass. So this side will not contract well or if you have it here the contraction as it relaxes will not be good. There are some people that are born with something that is called the Kent bundle here.

[00:30:49]So you these ones they have takadia because when this one is positively charged it is passing electrical system instead of it coming the normal way it turns like this and that's what we see on the ECG and we define that this person has this problem. So let's talk about something that is very important. Why do we divide it as ST elevation and non ST elevation? And I've say if you look at this one is normal and this one isn't normal because you know our our ST has gone up but this one on our electroc cardiogram has gone up.

[00:31:35]So I have defined what is I have defined what is myioarding function. So what can make your heart muscles die? And then we have an ST elevation.

[00:31:50]That is the first thing we need to talk about. ST elevation mioardial infunction or ST elevation heart attack or non ST. So we are on ST elevation one. This is it. Coronary artery muscles. Coronary artery block. Coronary artery block. This heart of yours, this heart of yours has got something that is called coronary artery. And what do they do? They are somewhere here. Let me put this coronary artery. You remember what I said? They come back to the heart to help the heart to get oxygen, the muscles of the heart to get oxygen. So when the blood is being pushed away from the heart, some of it comes back to the muscles of the heart through the right coronary artery and the left coronary artery. You see when this coronary artery are blocked part of your side of your heart will not get oxygen. So one that can make the ST elevation cor is a coronary artery becomes blocked.

[00:33:07]So when this side is is charged it loses energy and if it has contracted it loses energy to come back to normal. So it comes slowly and that's why you get an elevation.

[00:33:25]But if it is normal you will not get an elevation. It will contract and relax and come back. So normal you see st the another thing that can do is the affected mioardium re receives too little oxygen is chemia little oxygen. Another thing is that the constriction of the right let's say we are dealing with the left coronary artery you get that side it's receiving too little oxygen and what can happen maybe you've been smoking and the cells have been destroyed maybe the coronary arteries that are bringing blood are constricted and blood that is going there is not enough if severe and prolonged the cells become injured. H the cells become injured.

[00:34:23]You see? So ST elevation we deal with the how your blood gets to the heart and receives oxygen.

[00:34:37]You see?

[00:34:39]So if it goes on for so long and the cells are not getting oxygen as per needed what will happen the cells will become injured they will die off and that's why it is called myioardial in function in function is dead cell death cell you see h it is called stem st elevation mioardial in function and what can make it happen is blockage of the coronary arteries.

[00:35:15]This coronary arteries that come back to the lungs to feed it with oxygen.

[00:35:22]Something can happen like uh you can have a blood clot that can block those arteries. Complete occlusion of the blood clot atherosclerotic plague. Sometimes you can have some some let me say like it's called what cholesterols that have packed in your lungs and then they block blood to to go. So est elevation. So ST we have said is this so it is we are talking about what we are seeing at the what we are seeing at that machine that is called the echo cardiogram. So it will tell us if this part is elevated it means the part of your muscles of your heart muscles they are not getting enough oxygen contraction and relaxation is being interfered. You see so here is where we get some findings.

[00:36:23]You do some findings. You take troponine and which markers you know when your heart sense are dying the most elevated marker is tropon. So we check them off.

[00:36:35]Yeah. So that is it on ST elevation according to ecoardiogram. My friends if you have any question please don't hesitate to to ask and if you are here you are a new person you are watching please like the live. Please like the live. Let's talk about whatever is health for your heart. Health for your heart. You know health for health for our hearts are very important at any stage as a kid as an old person any stage. And you know the other thing is as years graduate to one year two year as you grow older this continue to rise. So if you are here and you're watching, please watch. I can see my longtime friend T beauty in the house. Big up T beauty. Thank you for tuning in here. Hope you are doing well and your flu went away. I know right now you are okay. So we have we have that one we were talking about ST elevation.

[00:37:39]ST elevation because of oxygen delivery.

[00:37:43]Because of oxygen delivery now let's talk about the other one. Non ST elevation. P QR ST N ST elevation H partially blocked of coronary artery. Eh we are dividing them into two.

[00:38:09]We are dividing them into two. Welcome my brothers and sisters. This is Benjamin the wild guy who talks about health matters. Health matters and I discuss the very important things. So today we are talking about something that is very important. I'm alive and we are alive. Thank you T beauty. I'm talking about matters concerning health matters. You know I'm talking about matters concerning health matters which is very important. which is very important and uh your heart is a very important organ to your life. Your heart is a very important organ to your life and uh we should protect it. So we have talked about heart attack. If you are coming in right now and you are dividing the heart attack into two into two it is based on electroc cardiogram finding.

[00:39:05]One is called STEMI and the other one is called EN STEMI non ST elevation and ST elevation. You know these are important things in life that you need to to evaluate and see how they are going on.

[00:39:20]So let's talk about ST elevation. You have a heart attack and then you migrate but you still have a heart attack. This one we are doing this. We are seeing it on the nardiogram. We are seeing it.

[00:39:49]It's here. But now the problem is you have a heart attack.

[00:39:55]An ST elevation mioardium is type of heart attack in which the damage to the heart muscles but no ST elevation. You have damage to the heart muscles but you don't have the ST elevation on the ECG.

[00:40:10]Why does the ST segment elevate?

[00:40:14]blockage you have said of the arteries that brings oxygen to the heart and stem nonst elevation is usually partially blocked. Those vessels are partially blocked. So they are taking oxygen that is not enough but can help your heart to to contract and relax well. Yeah. This is temporary reduction in blood flow causing some endo endocardial infection.

[00:40:43]a part of your of your blood of your heart is suffering but not the whole of it. So the ST is normal [clears throat] because you have some oxygen that is going damage limited to the to the inner layer of the muscle. This does not produce elevation.

[00:41:04]You just have damage to the inner part but the other parts are okay. That is called ST. So ST elevation is is blocked coronary arteries, arteries that give your heart oxygen but the other one they are partially blocked and only the inner part of your heart muscles are suffering but the other parts are okay and why the inner part you know the inner part of the heart muscle is called sub subendocardiogram endocardium subendocardium it is called the subendocardium it is the furthest from the coronary blood supply because if you see if this coronary arteries come the first places they will serve it is the outer layer it is the outer layer of this heart but inside it will not reach there they experience high pressure during ventricular contraction so when you contract this inside receives very high pressure has great oxygen demand than outside you see.

[00:42:22]So it has a greater oxygen demand than the outside layer. So what are the causes? We are still asking ourself. The other one was blocked esting giving us an electrical system that the the the the STL is elevated while contracting. So what are the causes of this other one? H partially coronary artery occlusion. Occlusion means blockage but blood is passing but it's just partially blocked. And then we have severe coronary artery narrowing.

[00:42:59]Sometimes those uh this coronary arteries they narrow so they're taking little blood little blood and coronary vessel spurs temporary spurs of coronary artery reducing when I'm saying spas you just know the blood vessels contract the blood vessels contract potential coronary artery dissection a tear from within the coronary artery wall. Sometimes it's just you call it internal bleeding. Ah t beauty is saying eating too much [laughter] more common in young women during short-term pregnancy.

[00:43:43]T beauty it people should eat a little right oxygen demand imbalance. Mhm. The coronary artery may be completely blocked but the heart muscle need more oxygen than it receives.

[00:44:02]Need more oxygen that it receives. And when we talk about oxygen demand, when we talk about oxygen demand, anemia can make you have a heart attack. Infection infections can make you have a heart attack.

[00:44:20]Sepsis can those are infection fast heart rate. Now fast heart rate why are we talking about fast heart rate.

[00:44:31]Now let me let me uh show you this. Look at this hand of mine. Look at this hand of mine. The normal pulse should be 1 2 so that it maximize on the pressure of blood to the heart to the muscles of the body and the heart muscles like this when it pressures one. You see you see two but now look at this my friends look at this my friends.

[00:45:08]So the heart pumps like you see but now look at this those are called arhythmias ticardas you will not pump blood as per needed.

[00:45:26]So high the more the heart beat faster the less blood gets to your tissues.

[00:45:38]So that's why we don't need the heart to beat faster. I think a lot of people get sick because what they eat. Yes or no?

[00:45:45]Yes, of course. T beauty whatever you eat is whatever you you produce on your looks on how you are. So the normal heart rate and the faster heart rate.

[00:45:58]Faster heart rate less blood to your tissues, less nutrients and less oxygen. Now there is another thing the opposite low blood pressure. The pressure of blood is very low. Even sometimes reaching some places is a problem. Low blood pressure is another thing. You see a problem. Severe hypertension, high blood pressure, a problem, you'll get end organ damage. Hypertension will lead your kidneys to shut down.

[00:46:32][clears throat] Hypertension will lead your brain to have a neurons, your heart, the coronary arteries to to have problems, to have muscle spas. Uh respiratory failure means uh when your lungs have a problem it means oxygen delivery is a problem.

[00:47:00]So what does that mean? Even the cells of your heart will die. So we have talked about two types of heart attack.

[00:47:10]If you have any question that and you are here if you have any question don't fail to ask. I was just explaining about the P QR P Q R S T complex which is seen on an echo cardiogram and then we divided with the normal one non STEMI non ST elevation myioardial function non ST elevation heart attack and ST elevated heart attack or myioardial impulsion.

[00:47:49]And I have explained very uh well that the cycle of the heart P Q R S T. You see how it does?

[00:48:13]P U R S T. You see P [groaning] Q R S that is how your heart sends the electrical system. The T-wave is whereby it is deolarizing before before it comes back then it depolarizes again depolarizes again. So QRS QRS QRS QRS is when these bundles are being polarized. So when you you you hear that when you hear that someone has something called the bundle block bundle block means these are the bundles the bundles are left bundle right bundle at ventricular bundle bundle of his. So when you have you hear someone has a bundle block it means there is a problem in this this bundle of his somewhere either a death of cells around here and this one is disturbed. So the cells the the electrical impulse is not passing as needed. So how do you know about the heart attack versus chest pains? Central chest pains. Uh T beauty when you have when you have the part of your cells in your heart are not getting enough oxygen and they are dying off. Most of the times you'll you get that you will have central chest pain.

[00:50:09]Central chest pain central chest pain is the most not the back here other things like think of lack of oxygen.

[00:50:27]Just a minute.

[00:50:34]Lack of oxygen. H tachicardius. Faster beating. You see chest pains is very normal when you have heart attack.

[00:50:44]Central or leftsided chest pain because the oxygen comes from the left side.

[00:50:52]Blood with oxygen comes from the left side before it goes to the palmary and then down to your body and the coronary artery bringing back to the to the heart. You see sometimes you feel tightness tightness on your chest tightness on the chest and then squeezing. Sometimes you feel like you are squeezed. You are squeezing your your chest is heavy and you kind like want to to to sit like this. You get usually they may go less more than 20 minutes.

[00:51:32]And sometimes when you want to climb some stairs you cannot.

[00:51:38]It is called exertional dism. You want to climb some stairs and you are feeling so tired and chest pain when you are climbing some stairs.

[00:51:49]Even if you you want to rest down, you are feeling the tightness.

[00:51:53]These are the symptoms that you feel when you have heart attack or myioardial infunction. Pain radiating to other areas like left arm, both arms, shoulders, jaw, upper abdomen, epigastia mostly here. You have seen some people that have high high blood pressure most some people that have high blood pressure complaining that they're feeling here pain epigastic here we call it epigastic region shortness of breath occurs because of the damaged heart pumps less effective.

[00:52:29]So if your muscles are damaged, they are not getting enough oxygen. Maybe coronary arteries arteries are oluded.

[00:52:36]What will you have? You will have dysmia. Dysmia means lack of shortness of breath. You are not getting enough oxygen. Sweating. It is called diaphores. It's called arm sweat due to activation of sympathetic nervous system. Some people if some people some people when they have heart attack you may see them even are noiated and vomiting more common in inferior myioardial in function they start vomiting and being nauseiated. Sometimes you feel you are lightedness when you are walking you you kind like you are stepping on on the clouds that is lightedness and then you you you feel that your head is like a balloon just just uh around some you are just people say I'm just in my cloud n walking you see that is the the feeling that some people have it is called lightheadedness palpitations always you will feel your heart beating You know by raping heartbeat, irregular heartbeat, fluttering sensation sometimes you feel that your heart and tiredness.

[00:53:50]Hey, if my friends you have if you have if you have myioardial infunction even if you do some small work you feel very tired. Yeah. Weakness. Your body is just weak. This is common in older adults.

[00:54:12]Older adults, women mostly always being anxious. Uh Miss Ti triple0, Miss Tuki0, welcome. Nice to see you. Thanks, Miss Tuki. Hope you have subscribed to the channel as we learn about medical issues. Lismo official, big up. Where are you from?

[00:54:34]I'm from Kenya. I am a doctor from Kenya. Kenya is my motherland, my friend. Where and you? Oh, you are from Korea. Good. Nice, nice, nice. Welcome to this. We are talking about heart attack. Welcome people with heart attack who are having myocardial infunction.

[00:54:52]Hello dog and the chat. Please move big up every time. Thanks for tuning in. If you are coming in please, Miku, please don't go without subscribing and also leaving your like. Just hit the like button or if you are using your phone uh double tap your screen. You see if you double tap your screen it will show you and that is a like you know and that is a like. So that is it my friend. Now let's talk about anxiety feeling of impending doom. You know if you have lightadedness and restlessness there is that feeling that you usually have an impending doom. You are seeing like you are going to black out every time. Yeah. If you talk to that person sometimes even this person does not finish sentences.

[00:55:44]That is called impending doom and anxy.

[00:55:48]Fear that something serious is going to happen because you are not feeling okay.

[00:55:53]You are not feeling normal. You know that heart attack, heart attack is a very complicated thing. Some someone said that feeling tiredness and tingling feeling across the chest. It feels like your veins are short. Yes. uh it feels like your chest are short and mostly on the side of the coronary artery that are facing damages because some of them like in ST and STEMI like ST elevation it means that there is total blockage so you'll feel numbness on some side because if the veins are blocked what do you expect it is called parthesesia numbness some tickling sensations even on the chest And that is very okay correct T beauty that is very correct whatever you have said. Uh there is something that is uh uh those symptoms that some patients particularly the older patients older adults and people with diabetes. People with diabetes may have few or no classical chest problems pain symptoms.

[00:57:07]They say they may present with shortness of breath.

[00:57:12]Let me repeat on heart attack. On heart attack some patients particularly women older adults and people with diabetes may have few or no classic chest pains symptoms.

[00:57:30]And what may they have? We are talking about the symptoms now. M extreme fatigue, nausea, indigestions like comfort, discomfort. Yeah. Pain in the jaw, neck, shoulder or back, dizziness or fainting.

[00:57:50]Dizziness or fainting. Extreme fatigue.

[00:57:53]You feel like you are really fatigued.

[00:57:56]And sometimes you are sweating without chest pains in in some people. I've said older people and people with diabetes. You see these are the symptoms that they may get.

[00:58:12]And there are sometimes my uh when you you are feeling this your first time first time you really need to see a doctor.

[00:58:25]When you are having a very rapid heartbeat and you are feeling it or a very slow pulse and you're feeling so weak, you really need to find a doctor.

[00:58:37]Two things that can happen. You may have high or very low blood pressure and you know very low blood pressure is equal to fatigue. Sometimes even walking is a problem. Shout for help. Tell people I'm not okay. Please tell me, take me to a doctor.

[00:58:59]Very cool, clammy skin. Sometimes you may see the the skin is looking very pale and clammy.

[00:59:08]Some people even have faster breathing.

[00:59:11]Faster breathing is called tip tacipnia.

[00:59:14]When it comes to medicine, signs of heart failure include lungs crackle and you may hear them and then your legs are swelling because blood cannot return normally.

[00:59:42]Your heart is failing. So the pumping of blood to the heart is not normal. So most fluids are retained down there.

[00:59:53]And then when you do when you go to a doctor, you know, it's common S4 is common due to ventricles. You know, S3 may occur if heart failure develops.

[01:00:06]Sound one, sound two, S1, S2, S3, S4.

[01:00:12]Those ones are for doctors. So if chest pain lasts more than 15 to 20 minutes, please see a doctor. If you are coming in right now and you are a new person, please just ask what you're doing. This is Benjamin the wise guy doing his thing, talking to my people, discussing health matters. Let me take a break first. a break because um someone may may feel e that is too much. The doctor is giving too much and you start feeling ah this is this is now uh some people become worried you know learning is a good thing but when you are learning and you are becoming worried that is a problem. So don't worry yourself man. They're just giving some information so that you can you can be okay. You see giving some information so that you can be okay. You see fainting or severe deiness heavy sweating nausea pain relating to the arm back jaw chest pain with shortness of breath. You see those are signs that you really need to see a doctor.

[01:01:33]You see very important points very important. Anyone with any question my friends anyone with any question?

[01:01:47]Anyone with any question.

[01:01:50]So we have some uh those ones today we have discussed are based on the electroc cardiogram. They are based on the electroc cardiogram. They are uh important facts that are based on the electroc cardiogram. They are based on the machine that we put and then they give us pqrst.

[01:02:14]If you have any question please put it down but we have other types of heart attack. We have I will be working outside while listening so I am in the background. So it's okay uncle. It's okay uncle. So we have other types of heart attacks like unstable angina and and there is another one type two uh uni the universal definition of myioardial function type 1 to five myioardial in function type one potentious heart attack or we have two ways of categorizing them. So today we have done about ST elevation and then ST elevation. If you don't know what ST is, please watch from the beginning and remember ST is these waves that we look at ST. ST are these waves that you look at when we are looking at an echo cardiogram. I've tried to explain it when we started. So we have something that is called universal definition of myioardial in function. Type one myioardial in function that is contentious attack. You are just there walking walking talking and then you are attacked and you fall down. Mhm. We have type two myioardial infunction. supply demand mismatch. It occurs when you have anemia, sepsis, uh very high blood pressure, very low blood pressure, coronary artery spasm. Those ones we are going to talk about. Type three myioardial infunction, sudden cardiac death. The patient dies before blood test can be converted confirmed elevated biomarkers.

[01:04:08]Just attack pop and you are good. You see those are called type three mioardial in function. You get sudden death and you are you're down. You're down. So we have another one which is called PCI related heart attack angoplasty occurs during short after coronary angoplasty when you we have gone for that angoplasty it's a procedure and then you go we will look at them from tomorrow slowly by slowly.

[01:04:38]We have another one which is called PCI related and cab G related heart attack occurs during coronary artery bypass graft. Coronary artery bypass graft.

[01:04:51]When your coronary artery are blocked we are trying to bypass so that blood can go to the other part where it is not reaching and then you you accidentally get an heart attack.

[01:05:04]uh uh another thing we have here uh we have today we have done two I'm just going through all these types based on area of a heart affected you know we can categorize a heart attack on based on area affected anterior wall mioardia infection or artery involved where it is anterior wall or inside you know inferior down there and where we Put the leads lead 2, three and auctioned ventricular foot the foot down here. It is here. Augumented ventricular foot.

[01:05:44]Well, we place read two and three down.

[01:05:48]So that we can know how the it is reading how the the this the electrical sign is coming through the ventricles.

[01:05:57]You know sometimes you may see even this instead of looking upright it is looking like this downwards like this. It it means that the probe that was there was looking at it maybe on an angle that is looking down. You see? Yes.

[01:06:20]Lateral MI lateral is sideways. So lateral wall MI septal wall MI the lag septal is this bundle a septal branch of the l. So septal is it can be left or right seepal branch problem the heart can can have this side or this side. The left bundle branch or the right bundle branch. You see how we see we categorize all these things. Posterior MI artery involved with right coronary artery, right ventricular MI. We will learn about all this about heart attacks you know. So uh uh today we have learned about the the ST the machine itself and how it gives us and how it gives us the problem of the heart. So STEMI is called ST elevation myioardial infunction or you can say uh ST elevation heart attack completely coronary artery blockage SD elevation. But here when you do troponine troponine when your heart muscles die they produce more of something that is called troponine. So when you take your blood and you see because it is released in the blood you see it is really elevated you kind like know okay okay I see I see this I see this the heart cells are dying. So that is what we do in the laboratory. Non ST partial block and artal block partial block or the artery is partially just block. It is passing some blood but not enough.

[01:08:09]So you may get depression or T-wave inversion or T-wave inversion. It has gone down. This one it can be normal.

[01:08:22]ST can be normal or it can come down like this. It can come.

[01:08:30]We are talking about the machine. It can come down like this because you are not getting enough you're not getting enough oxygen oxygen but you're just getting some oxygen. So heart attack uh is uh most people uh get heart attacks and your treatment uh is uh determined uh by you you it's determined by what we have talked about the categorization. Let me repeat about risk factors.

[01:09:17]risk factors because the normal way people you know want to know is what can make me uh likely what can make me likely to have to have a heart attack what can make me likely to have heart attack there are those I've said and I repeat there are those issues that are nonmodifiable risk factors nonmodifiable risk factors, but there are those ones that are modifiable. Let me do this a bit. So you you know you cannot change your age.

[01:10:00]You cannot change your age. Another thing is you cannot change your gender.

[01:10:07]Even if nowadays people change their gender, you you understand how what I'm saying when they change their gender, you cannot change your your age because what am I doing? Sorry guys. You cannot change your age because people that are 45 men and above they are prone to have they are more likely to have heart attacks. 45 and above. And then we have for women. For women we have 55.

[01:10:44]Women that are 55 and above they are more likely to have heart attacks.

[01:10:51]You check it out. Very important to note that you cannot those are nonmodifiable things that you cannot modify. This one is there.

[01:11:03]Your age as you grow cannot modify. And that's why you will always see bar walking exercise.

[01:11:10]You will always see Barry walking exercise as old as he is as aged as he is walking exercising reducing calories and carves so that you cannot get the coronary artery occlusion you know it's very important my friends very important yes those ones you cannot modify but there are those ones that people can modify you uh you you cannot modify your family history if genetically you have problems in your family. FC is here and everyone in the church welcome Fasc big up every time. If in your family you have a history of heart diseases, occlusion of coronary artery or people are born with complications of heart itself.

[01:12:05]Whis teach hey long time brother how is you hope you will start this topic from the beginning. I've really explained some things that are very important.

[01:12:17]Whizzley which part are you watching from? Remind me you have gone for so long. Hope you are doing good with Le.

[01:12:25]Yes, you cannot change your family history. Genetically you cannot change your genetic uh well how your DNA.

[01:12:34]See, so family history, age and sex, you cannot change. Even if people try to change their sex nowadays, but physiologically it will remain the the the same. You you know Yeah. medically and physiologically will remain the same. Genetics, there are some people who have normal high cholesterol levels too or the tendency to blood clots. Genetically their genetics they have tendencies of blood clots you cannot change. So it means you have to go to the doctor. Talk to the doctor.

[01:13:15]Let the doctor found find out so that he can this doctor can tell you how to live with drugs. Oh, watching from Doha Katar. Yes, I remember telling you to visit it to watch to visit it. One day you guys are in the same place. You must visit each other there. You know when you are visiting your brother and interacting it becomes so fun you know so genetics you cannot change you'll never change your DNA and that's why you can follow your DNA up to the time when Jesus maybe you can find that you are a sister or a brother to Jesus through your DNA you see we just go to where the we just go where The tomb of Jesus was the clo the fabric that Jesus was wrapped. I've told it is somewhere around I don't know the temple of Jesus. Where is the temple of Jesus?

[01:14:21]And then we take some threads and we take your DNA you know DNA never dies.

[01:14:27]It stays years and years and then we see if you are 99 or 85 or 45% a brother to Jesus or a sister to Jesus.

[01:14:40]So those are nonmodifiable facts of heart attack. I'll always after one lecture I'll be repeating these factors because people need to understand modifiable facts things that you can help yourself so that you cannot get heart attacks they can neither be prevented or stopped.

[01:15:04]Smoking.

[01:15:08]Smoking damages the inner layer of the heart.

[01:15:18]Smoking damages the inner layer of the heart. Smoking damages the inner layer of the heart.

[01:15:29]Promotes arterosclerosis.

[01:15:32]Tough. tough veins and arteries that cannot contract well or relax well.

[01:15:41]They are just constricted forcing you to have high blood pressure called aoscerosis.

[01:15:48]Increased blood clot formation. If you are here and you are smoking, if you are here and you are smoking, listen to this. This is the the side effects of smoking.

[01:16:02]You guy uh you guy my guy if you are here and you are smoking now listen to this listen to what I have to tell you and listen carefully.

[01:16:15]So maybe it may it may make you to stop smoking. I usually tell people smoking and uh smoking and uh taking alcohol they think about it. We think about these things. Smoking and taking alcohol.

[01:16:36]Smoking increases blood clot formation, reduces oxygen delivery to the heart and gland, you know, it's it makes the factors smoking makes the factors that makes the blood thing anticloating factor like the Christmas factor. You remember when we were talking about clothing issues like the Christmas factory, Stuart factory, it interferes with them, hemophilia A and hemophilia B. You remember them.

[01:17:14]It interferes with them.

[01:17:19]Smoking is one of the strongest preventable risk for end state.

[01:17:25]this one. Let me tell you one thing.

[01:17:30]Most of the people that have always visited the hospital, complaining of chest pain, complaining and then you get endocarditis, you get endocarditis.

[01:17:44]Endocaditis means inflammation of the inflammation of the inner layer of the heart.

[01:17:52]Yeah, it is because of smoking.

[01:17:56]It is because of smoking.

[01:17:59]So you who is there are smoking uh please continue smoking if you don't love yourself. But if you love yourself please stop smoking and tell other people the risk of continuing to smoke.

[01:18:17]And you know sometimes I I feel funny. I I I I I sometimes feel funny because in my country the the packets, cigarette packets, they are written with big bold letters, smoking is harmful to your health.

[01:18:42]Just just imagine the one and only company that tells the consumers if you are consuming this it is harmful to your health. [laughter] Is it only in my country or countries outside here they have the that tell me anyone who is watching cuz I've seen some packets of cigarettes that have are written smoking is harmful to your health the only company that tells its consumers if you use my products you can have problems but you are still buying them anyone in the is it in my country alone in Kenya or other countries also.

[01:19:31]Is it in my country? If in your country or the where you are you have seen that please tell me smoking. So we have said you can stop smoking and then you become good or if you are having symptoms you can be treated and you become well and good because smoking damages the inner lining of the arteries and also the heart promotes atherosclerosis veins and arteries that are very tough and relaxing and contracting is a problem. Increases blood clot formation.

[01:20:04]It increases blood clot formation.

[01:20:07]reduces oxygen delivery to the heart. It reduces oxygen delivery to the heart, prevent smoking.

[01:20:17]Just imagine if you are listening, you are telling your consumers that my friends, if you continue using my product with bold letters, if you continue using my products, you are your life is in danger. I've seen that in in in in my country. All the products of of cigarettes they are written that except marijuana because you know marijuana in my country is not legal. Marijuana in my country is illegal. So if you take if you take marijuana h it's not packaged you know is marijuana legal in the US people that live in the USA tell me are you given the right to smoke bank now the other modifiable factor that we have is hypertension high blood pressure high blood pressure hypert attention.

[01:21:20]High blood pressure damages blood vessel walls. Accelerate plague formation.

[01:21:26]Plague formation is a clo that has come and blocked you know um or cholesterol lipids that have occluded in the in the blood vessel. So it can it can if you have high blood pressure it can make you to have cholesterols that are occluded increases the heart workload and oxygen demand because if your heart if you have narrowing veins it means the heart should continue pumping a lot of blood with force that is increase in workload.

[01:22:06]We don't want to give our hearts a a bigger workload. You see, we don't want to give our hearts a bigger workload.

[01:22:15]There is something diabetes melters.

[01:22:18]Diabetes melas causes damage to blood vessels. Diabetes if you are having diabetes and you are not taking your medication. I had bar walking exercise today talking about diabetes and he was explaining about the sister who took long to continue with the medication and it became fatal.

[01:22:42]Diabetes measelate atheroscerosis. You know some people that are diabetic, their blood vessels are very tough and they have silent heart attacks with little or no chest pain.

[01:23:07]The people that are born with the family members with a condition called hyper dispilidemia high cholesterol levels. You know there are some people in their families they are just having high cholesterol levels.

[01:23:22]No matter how you give uh no matter how you give uh drugs no matter how you give drugs they they just have high cholesterol levels.

[01:23:37]High LDL promotes formation of plague. Low LDL reduces removal of chole cholesterol artery. So LDL is bad cholesterol.

[01:23:51]HDL is good cholesterol. So when you have high bad cholesterol you are for your blood vessels can block. But if you have low high H high density lipoprotein your blood vessels are protected.

[01:24:10]So high LDL with low HDL is a problem because HDL is a good cholesterol that removes the bad cholesterol and returns it back to the system to be metabolized.

[01:24:24]So when it is low you have a problem.

[01:24:26]High density lipoprotein. The bad one is called low density lipoprotein. High triglycerides also increase cardiovascular risk. Triglycerides are oluded lipids, cholesterol.

[01:24:44]These ones you can take medication and manage them well with what you are eating.

[01:24:50]T beauty has been here and has said whatever you eat can lead you to have heart attack and this now what we are talking about cholesterol.

[01:25:03]We're talking about cholesterol. So if you are coming in right now and listening to risk factors of heart attack check if you have hit the like button check if you have hit the like button. Today we have dealt with two types of heart attacks.

[01:25:19]One type of heart attack we have talked about is STEMI. The other one is an STEMI heart attack.

[01:25:28]Now obesity people with big bodies central length that is more than 90 cm in the hips.

[01:25:46]Obesity increases hypertension.

[01:25:50]Obesity increases diabetes because you will have insulin resistance because of more cholesterols.

[01:26:01]Increased inflammation because you are big and inflammatory markers are everywhere.

[01:26:10]Now the other thing that can give you heart attacks. Thanks for those likes the guys that you're coming in and liking and also share my friends. Share this live man. Share this live. We should be at 5,000 6,000. We are still going slow slow. We need to give out people messages. Ah grandma of three.

[01:26:33]Good morning everyone. Happy Monday.

[01:26:36]Good grandma of three. We are talking about heart attacks. Please if you are coming in late, please rewatch this.

[01:26:44]Re-watch this. This is very important from the beginning.

[01:26:48]Physical inactivities. There are some people that don't like working out. They don't work. They have money. They drive. They sit at chairs working in the evening. Take a shower.

[01:27:06]rest inactivity bringing you to have obesity increasing the risk of diabetes hypertension and high cholesterol in your body prone to heart attacks prone to myioardial infunction so when I'm talking about heart attack you should be considering the other word also myioardial in function it is the other word that we call heart attack myioardial aha Hey Benjamin, loving your teachings.

[01:27:39]Bless up Kesa. Thanks for tuning in and your like too and your share my friend.

[01:27:46]You may I usually say grandma of three and I'm a father of three. [laughter] So uh those are my friends M. Greetings Dr. Benjamin and everyone. Thank you so much Majil A. How is you? Bil Aot my friend a lovely lady from Kenya always happy and smiling.

[01:28:14]If you have not checked out please check out Berilla.

[01:28:21]So physical inactivity welcome everyone.

[01:28:24]Greetings Dr. Vil. Greetings. Greetings.

[01:28:28]Welcome everyone.

[01:28:31]Today I've dealt with two types of heart attack and ste and ste when I'm talking about that I'm I'm okay there with all my ears I'm listening this one and this one go through start this slowly by slowly go through it you may save someone's life because nowadays a lot of people are dying of heart diseases.

[01:29:02]Eh, so get the vibe. Just take your time and learn these things slowly by slowly.

[01:29:09]At least you have Benjamin the wise guy here who explains in depth and goes down to the depth of what is heart attack. But you know people didn't know heart attack means uh death of the heart muscles. At least today you understand the heart muscles are dying. That's why it is called heart attack.

[01:29:35]So let's continue. Let's continue my bread. Let's continue my bread. And when you you feel that you are feeling the vibe, let me hear you say yes rah.

[01:29:48]Come on. Let me hear you say yes Benjamin. I'm getting it right. Just as Aisha said and yes, hit the love, hit the love, hit the love and share, you know, unhealthy diet, saturated fats, trans fats, salt, refined sugars, high processed foods.

[01:30:18]If you are not diabetic, let me say this, it is not unhealthy to use sugar, but use minimal sugar. Don't overdo sugar. If you don't have insulin resistance, very Yeah. If you don't have insulin resistance, please just use sugar and go to the gym, work out saturated fats that you use over the counter from hypermarkets and supermarkets.

[01:30:58]We want fried things.

[01:31:01]We want everything. You know, cholesterols are sweet.

[01:31:06]When you take fried things, you feel so sweet, man. French fries. Ouch. Crispy.

[01:31:15]Until you go to that until you go to that restaurant and then you say, "Ouch, this meat is so crispy. This French fries are the best." Eh, you're taking in free radicals, saturated fats, h impending doom of atherosclerosis and doing what?

[01:31:43]Having mioardial infection so soon.

[01:31:47]That is why I usually do cuz I can't avoid sugary foods. Yes. The sweeter the food, eh, the more the exercise you need. The sweeter the carbs, the more the carbs you're taking. The more the gym you need, the more the exercise and workload you did. So don't just feel sweet and don't compensate. Feel sweet and compensate with something like working out.

[01:32:18]You get me guys? Feel sweet, get the pain.

[01:32:24]Be healthy. Feel sweet sugars. Eat good sugars. Feel the pain. Eat and feel healthy.

[01:32:34]So unhealthy things make you have problems to have coronary artery disease. When I'm talking about coronary artery problems, I'm talking about this that comes from the outer after you know when blood comes from your lungs there it has to go to your body and it comes from the left side to the outer and then some blood comes from the coronary artery to the lungs I know to the heart to give it some energy and oxygen. So if those that are coming back to the lungs are blocked what will you have heart will have problems my friend you will have problems with oxygen chest pain those that you have but now you can have a healthy diet like grains, fruits and vegetables, nuts, healthy fats from plants like olive O why am I dreaming about true dreaming about true? Please emphasize geisha. Tell me tell me what is the truth. You can have nuts, healthy exercise, healthy foods, vegetarians. And that's why you will get that the true Rustafarians, you have seen them in Ethopia, in Jamaica, they live for so long because they don't use saturated fats and animal meat.

[01:34:17]Vegetarian, your body is more healthy when you are using vegetables.

[01:34:23]You speak the truth. Thank you.

[01:34:28]Your body is more healthy when you use vegetables than meat.

[01:34:36]You check it. Now let's get to some people. Some people who loves feeling I let me hear you feel say I taking the bottle of alcohol.

[01:34:52]M yeah heavy alcohol intake causes hypertension. It destroys the cells of destroys the cells of the liver.

[01:35:04]You start having some things that are called cardiomyopathies. These ones we did them but there are some diseases of the heart not the heart attack. No, we we talked about congenital problems from birth, septal disorders and pulmonary disorders, tetrol like tetrology of fot. Those ones we talked about. But now we have some other problems that are called cardiomyopathy, restrictive dilated cardiammyopathy. These muscles are not working out as needed and they are brought by alcohol intake. I think I'll talk about them after I finish tomorrow this week. Heart attack. I'll talk about cardomyopathy.

[01:35:57]You in your family you are not born with any problem concerning heart attack.

[01:36:06]But along the way money has come. You now know how to sit in a club and drink bottles and bottles and show everyone you're the man.

[01:36:20]Very soon you start having cardiammyopathies big you see.

[01:36:28]Hello Dr. B. I'm fine baby girl welcome to the church.

[01:36:33]You have heard some people say Belly City woman with a big belly.

[01:36:42]I'm the doctor inside the outside is love. Oh, nice.

[01:36:47]Yes. You see, so that is it.

[01:36:52]Cardiomopathies. We'll talk about the arythmias.

[01:36:56]When I'm talking about arhythmias brought by alcohol, it means bricardia and tachicardia.

[01:37:07]Brandicardia is your heartbeating slow.

[01:37:09]Tachicardia is your heartbeating fast.

[01:37:13]And then you have the third one which is called fibrillations.

[01:37:18]It is not even beating slow. It is so fast until look here. This is slow.

[01:37:25]This is slow. You see, if you have not liked or double tapped, please give me your likes as we continue and share the chat. This is slow. This is slow. You see, we will call it brandicardia. Okay.

[01:37:40]This is takadia.

[01:37:42]This is takadia.

[01:37:45]Let's take a normal like this. No more like this. Now, we're talking about the heart.

[01:37:51]God is the medicine. Yeah. And then we have fibrillations.

[01:37:59]Fibrillation. So we have those ones like arythmias. Alcohol can bring them.

[01:38:05]Alcohol can bring them. We have elevated triglycerides. Triglycerides are types of cholesterols that are so hard that can occlude in your vessels. They are brought by alcohol.

[01:38:21]Chronic stress.

[01:38:25]Chronic stress.

[01:38:28]Long-term stress raises blood pressure, increase heart rate, engage in healthy behaviors such as smoking and over overeating.

[01:38:45]Someone is thinking so much. The bread is using a lot of calories. calories and you know calories used is equal to calories in ingested. If you use a lot of calories in your brain it means you need to ingest calories again used are using calories when you are thinking. So it means more calories you need to continue burning. [clears throat] So you continue eating, eating, eating and you know that is an unhealthy behavior.

[01:39:24]You know let's talk about chronic kidney diseases.

[01:39:32]Chronic kidney diseases.

[01:39:35]Chronic kidney diseases associated with ailerated atherosclerosis.

[01:39:44]H before I continue I can see grandma of three has a question doctor I have a question my 15year-old kid getting headaches what can I what do I do headaches headache is a symptom headache is a symptom that something is not okay maybe dehydration maybe some other diseases like infections Maybe what I may advise is is it only headache or associated with something else. If it is only headache, you can go to a hospital or laboratory. Do a general full hemogram check. Let the doctor advise. But if this headache is persever the the the the how can I call it radiating and persevering intense headache there are several things that doctors will handle because you know headache is a general symptom dehydration can cause headache. Heat can cause headache.

[01:40:56]Not eating well can cause headache.

[01:40:59]Anemia can cause headache. Another thing that can cause headache is abdominal abdominal problems can cause headaches and dizziness.

[01:41:10]Your 15year-old may be having anemia because when you have ania you you will have headache but confirm please go to the doctor confirm about the headache.

[01:41:27]Let the doctor check with normal blood test that are being used so that I am who I am. I have power to bring life.

[01:41:40]Those are the words from the Bible. My friend, I see those are the words from the Bible.

[01:41:48]Yes, she is anemic. Very correct. If she's anemic, that is what is bringing the headache. So if she's a nameic grandma of three, you need to have some uh hematinics.

[01:42:02]But take this 15 year old. Let them get to know why she's anemic. Deal with the problem.

[01:42:14]Don't deal with the symptom. Because if you start buying hematinic, hematinics are drugs to boost of uh hemoglobin.

[01:42:27]You will not be dealing with the problem.

[01:42:30]Go to a hospital, let the several tests be done. Let's know why she's anemic. Is it nutritional? Is it something that she was born with bringing it? Let that big thing be corrected so that we don't care. Yes, she's low on our very many things can cause so that we can treat we can treat it.

[01:42:58]You know, even proto like hookworms can cause you to be anemic. Some things we eat can cause to be anemic. So I fully say that take this to a doctor.

[01:43:13]She just went to the ER for this situation and they did a lot of blood work and everything was fine. I did tell them about the headache also. Now that one may be 15year-old headaches and dizziness secondary to anemia. It may be nutritional whatever she's undergoing may go away after some time. So don't worry doctor. I have a friend who is 40 years and she do bleed a lot. And what is wrong? High blood pressure can cause bleeding.

[01:43:50]Sinus infection can cause bleeding.

[01:43:54]Problems sometimes with the temporal loes or the uh the vessels. Why is that?

[01:44:00]Oh, it's not here. I removed it. It can cause bleeding. So, several things can cause bleeding. We we talked about nose bleeding. Bil share share this channel to your friend and there is a video on the lives that we talked about nose bleeding. We talked about nose bleeding.

[01:44:21]Just send the channel tell her to to check on the lives nose bleeding. She'll learn a lot. Even you you can check.

[01:44:30]So grandma three they did the test and everything is normal. That one is compensated nutritionally. Let your 15year-old take a lot of leafy foods, leafy vegetables to get to get folic acid and others and iron also after some time. He will be okay. He'll be okay.

[01:44:55]Now let's continue as we continue to finish. I think questions are coming.

[01:45:00]That's what is cool. Let the questions come. Hope yes three no worries no worries so the codes do that chronic kidney diseases can cause you to have heart conditions as related asosceros atherosclerosis high rates of heart attack and cardiovascular death kidney diseases because you know the kidney produces a hormone called which helps in manufacturing of red blood cells other medical conditions.

[01:45:40]I'm now going to be watching your playlist doctor starting today so I can start getting answers as what is going on with my kids. No worries. We have talked about them so much. And if you have those questions don't you can just ask. You can you can ask it is very important when you ask them and I will I'll be explaining I'll be explaining.

[01:46:05]So there are other things like other medical conditions like um peripheral diseases and uh uh previous heart attack uh transient is schemic attack where you lose oxygen a particular time and it goes you know those ones we'll talk about. So for today everyone who has been watching thanks so much for watching my my discussion of the two types of heart attacks the two types of attacks we have talked about stemi ST elevation and non ST elevation they are based on the electroc cardiograms that gives us these ones I know everyone has knows all these lines that go like this when someone is in the hospital please if you have not you did not start from the beginning you'll learn a lot when you start from the beginning and share this this talk they'll help so many people so you guys wherever you are may you be blessed unless if there is anyone who has a question anyone who has a question before I leave okay we have talked a lot about heart attacks heart diseases, heart conditions. Yeah, they have really talked about um I asked the doctor the real um you have a question I've not seen. Uh you say I doctor I have 40 year old and she is uh I will watch from the beginning. Thank you. Thank you mother doctor. I have a friend who is 40 year and she doesn't nose bleeding a lot. Then what is wrong?

[01:48:00]I've said nose bleeding can be brought by high blood pressure, sinus infection, sometimes brain conditions at the temporal loes. But we talked about it.

[01:48:11]There is a reason uh there is a live that we did on bleeding. You can share.

[01:48:20]Not that one.

[01:48:22]Uh, not that one. Next time you won't get mine. Eh, I'm not understanding that. Okay. It's okay. No problem.

[01:48:34]I've not got that from the real, but it's okay. It's okay. Okay. So, guys, have a lovely Here it is.

[01:48:42]6:19 p.m. 6:20 p.m. And I know some places like Jamaica, I mean follow the chat, you will get my question. Oh, let me see. Let me see.

[01:48:56]Uh channel activity. Let me see your question.

[01:49:04]I mean, okay, I want to get your question. That's what I'm I'm trying to find.

[01:49:17]That is what I usually because I can't avoid sugary foods. Doctor, I'm getting you.

[01:49:24]Uh, greetings doctor.

[01:49:32]I'm not getting it. I've I'm I've gone through your I've I've gone through I've I've gone through your chats bing and I'm not seeing that question. Will you post it again before I leave? Just Okay.

[01:49:57]Because I have all of your I have all of your chats after that. You said let me repeat since you aren't getting it. I was asking why am I having heavy periods every heavy periods every month are related to heavy periods every month are related to hormones genetics and uh [clears throat] several factors and it means which types of heavy period how many the how many pads do you use in one circle or in a It depends you know you may say they are heavy and they are normal. Do they clo or do they not clo like how many pads per day and how many days do they go?

[01:51:05]Because if it is 5 days that is normal 5 days are normal. Three parts per day may be normal.

[01:51:19]Maybe normal you see. So if it goes more than 7 days and you in a day you're getting 80 meals per circle that is a part that is full.

[01:51:32]So far since morning till now I have used four. When you start you use at least five. When you are ending you use at least one.

[01:51:43]So you have to check if this one has continued for some time and you get heavy menes until sometimes you become busy for a lady like mine is so unpredictable. Sometimes three sometimes 6 days. Yes, that may be. But are they regular?

[01:52:03]Do they come regular days like reg every this date you understand that you are likely to be getting? No, this is the second day. Oh, if they are not regular, you go and do an ultrasound from the uterus. They may provoke some hormones. You start bleeding.

[01:52:23]Adenomiiosis.

[01:52:25]Adenomiiosis are tissues that may do that. Theomas are some tumors that may changing date every month or irregular and malignancies can do that too.

[01:52:39]There's something that is called nonstructural coagulopathies like disease platelet disorders hemophilia rare in women.

[01:52:49]Hemophilas are are factors of that makes a person to to control bloating ovulation dysfunction in some women ovulation in function andometrial disorder and sometimes they are unknown.

[01:53:06]So should I visit a gynecologist? Before you visit a gynecologist, just go to a normal physician, do a uh do something that is called a normal address. The physician will advise you to do something that is called a monol profile and then the physician is the one who will advise you to check a gynecologist or not.

[01:53:31]Sometimes women when they take hormonal balance pills it becomes normal. And menes also when you are having some stress of life when you are having some uh let me say you you are having some change of environment. You are traveling to somewhere else.

[01:53:54]Mees may be regular. The balance is not uh just the same. As you grow up, things change. Later in life, you start having some imbalances. You see, you know, and those ones are normal.

[01:54:12]Women after they have given birth, some people um uh lack menes for so long.

[01:54:20]You get?

[01:54:22]So that is it my friends? That is it my friends. I think we have done a lot of things. Thank you so much for tuning in and I usually say always be blessed and share these lives. They may save someone don't have information. So let's meet at the next one when we will be dealing with other types of uh heart attacks and uh we continue like that. If you have any question my email address everyone has and even the other number. So bye-bye.

[01:54:56]6:30 in the evening. Is it more than 2 hours? Well, just bye. See you guys.